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Job Details


UnitedHealth Group

Clinical Manager, Maternity - Telecommute in Maryland

Healthcare

Clinical

No

Baltimore, Maryland, United States

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

This position will lead a care management team while overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. The Manager, Clinical Care Management will manage a program, region, including process improvement, execution of clinical decision processes, clinical care management team management, including performance management and implementation of program initiatives. All case management/ coordination activities will be in alignment with evidence-based guidelines.

If you are located in Maryland, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Lead and manage regional clinical care management teams comprised of RNs, Behavioral Health Care Managers and Community Health Worker
  • Hire, develop and coach clinical care management team members to set team direction, resolve issues, monitor adherence to state and federal contract requirements and provide guidance to team members
  • Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
  • Investigate non-standard requests and problems to make recommendations to leadership
  • Acts as interface with functional teams and partners to coordinate workflow processes and implementation plans
  • Review data and facts to identify and solve issues, mitigate risks, prioritize teams’ workloads, and assign direction for ad hoc projects needed
  • Carry member case load as needed
  • Telecommuter with 15%-20% field


You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Current, unrestricted, independent licensure as a Registered Nurse in the State of Maryland
  • 5+ years of Clinical Experience in Maternity/NICU
  • 3+ years of Leadership Experience, including oversight of case management and experience in team-based care
  • 3+ years of experience with Medicaid and Medicare populations
  • Demonstrated knowledge of Medicare and Medicaid benefits
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Master's degree in nursing
  • Experience working in team-based care
  • Experience working in Managed Care
  • Demonstrate ability to work in a matrix organization


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

**PLEASE NOTE** The Sign-On Bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group, UnitedHealthcare or a realated entity in a full time, part time, or per diem basis ("Internal candidates") are not eligible to receive a Sign-On Bonus.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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